Visual Distortions: Is Eye Fatigue the Culprit? - Ophthalmology

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Macular degeneration


Hello, Doctor.
Last week, I experienced a distortion in my vision where objects appeared to be enlarging and shrinking due to staying up late the night before.
I also noticed that the shadows of the beams and columns on the ceiling seemed to soften, pulsating in sync with my heartbeat.
After visiting an ophthalmology clinic (which is quite large), the doctor stated that the structure of my eyes was normal and explained that the symptoms of enlargement and shrinkage were likely due to blood vessel constriction combined with eye fatigue.
Following the ophthalmologist's advice, I regularly used eye drops and adjusted my sleep schedule.
After a few days, my symptoms improved significantly, and my vision became much clearer.
However, when I focus on straight objects like beams and columns, I still feel a soft, swaying motion in sync with my heartbeat.
Interestingly, when I checked using the Amsler grid, I saw no distortion at all.
During my follow-up appointment yesterday, the doctor reassured me that my symptoms were still due to eye fatigue and confirmed that both of my eyes tested at 1.0, indicating no macular degeneration or retinal issues.
I would like to ask if this situation is truly just a result of my eyes being overly fatigued and not yet recovered, or if there might be another underlying issue? I hope the doctor can help clarify this for me.
Note: Both of my eyes have a prescription of around -6.00 diopters.

Xiao You, 20~29 year old female. Ask Date: 2022/04/23

Dr. He Jianxian reply Ophthalmology


Regarding your specific condition, there have not been any similar cases encountered in clinical practice, so I am unable to provide any insights.
Dr.
Ho Chien-Hsien, Ophthalmology Department, Nantou Hospital.

Reply Date: 2022/04/23

More Info


It sounds like you're experiencing a complex set of visual disturbances that can be quite distressing. Based on your description, it seems that your symptoms may indeed be related to eye fatigue, but there are several factors to consider.

Firstly, the phenomenon of visual distortions, such as the "pulsating" or "softening" of objects you described, can often be attributed to a combination of eye strain and possibly neurological factors. When you experience fatigue, especially after a night of poor sleep, your eyes and brain may not process visual information as effectively. This can lead to temporary distortions in how you perceive shapes and lines, particularly if you're focusing on them for extended periods.

The fact that your eye structure was deemed normal during your examination is reassuring. It suggests that there are no significant underlying issues such as retinal detachment or macular degeneration, which can cause similar symptoms. Your doctor’s assessment that your symptoms are likely due to eye fatigue is consistent with what many eye care professionals observe in patients who spend long hours in front of screens or engage in activities that require intense focus.

Eye fatigue, also known as asthenopia, can manifest in various ways, including blurred vision, headaches, and the visual distortions you’re experiencing. It is often exacerbated by factors such as prolonged screen time, inadequate lighting, and insufficient breaks during tasks that require close attention. The fact that your symptoms improved with rest and proper eye care (like using prescribed eye drops) indicates that your eyes are responding positively to these interventions.

To further manage your symptoms and promote recovery, consider the following strategies:
1. Follow the 20-20-20 Rule: Every 20 minutes, take a 20-second break to look at something 20 feet away. This helps to relax the eye muscles and reduce strain.

2. Ensure Proper Lighting: Make sure your workspace is well-lit to reduce glare on screens and minimize eye strain.

3. Adjust Screen Settings: If you work on a computer, adjust the brightness and contrast settings to comfortable levels. Consider using blue light filters or glasses to reduce exposure to blue light emitted by screens.

4. Stay Hydrated: Dehydration can exacerbate dry eyes and fatigue. Ensure you drink enough water throughout the day.

5. Regular Eye Exams: Continue to have regular check-ups with your eye care professional to monitor your vision and eye health.

6. Consider Vision Therapy: If your symptoms persist, you might benefit from vision therapy, which can help improve visual processing and reduce strain.

Regarding your concern about whether your symptoms could indicate a more serious issue, it’s important to trust your eye care provider's assessment. If your symptoms do not improve or worsen, seeking a second opinion or further testing may be warranted.
In summary, while your symptoms are likely related to eye fatigue, maintaining good eye care practices and monitoring your condition will be key to your recovery. If you have any further concerns or if your symptoms change, don’t hesitate to reach out to your eye care professional for additional guidance.

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